广东医学2025，Vol.46Issue(4)：622-627,6.DOI:10.13820/j.cnki.gdyx.20241297
护理依赖程度、疾病感知与应对方式对离退休老年共病患者心理困扰水平的影响
The impact of care dependency,disease perception,and coping styles on psychological distress in retired elderly patients with multimorbidity
摘要
Abstract
Objective To understand the current status and influencing factors of psychological distress in retired elderly patients with multimorbidity,and provide evidence for interventions aimed at reducing psychological distress in these patients.Methods Using a convenience sampling method,we selected 245 retired elderly patients with multimor-bidity who were hospitalized in the Department of Geriatrics at a tertiary hospital in Wuhan,Hubei,from January to De-cember 2023.A questionnaire survey was used to collect general information,disease accumulation scores,care depend-ency levels,psychological distress levels,disease perception,and coping styles.Logistic regression analysis was applied to explore the factors influencing psychological distress in retired elderly patients with multimorbidity.Results A total of 245 patients were included.The proportions of patients with mild,moderate,severe,and complete care dependency were 54.3％,21.2％,19.2％,and 5.3％,respectively.The incidence of psychological distress in retired elderly patients with multimorbidity was 70.6％.Logistic regression analysis showed that moderate,severe,and complete care dependen-cy(OR values of 2.656,7.389,and 41.888,respectively),disease perception level(OR value of 1.177),and nega-tive coping styles(OR value of 16.007)were positively associated with psychological distress.In contrast,positive coping styles(OR value of 0.153)were negatively associated with psychological distress.Conclusion The incidence of psycho-logical distress is high in retired elderly patients with multimorbidity.Moderate,severe,and complete care dependency,disease perception level,and negative coping styles are independent risk factors for psychological distress,while positive coping styles serve a protective role.Early identification of risk factors and intervention measures,including encouraging positive coping styles,are essential to maintain the psychological health of these patients.关键词
老年人/共病/离退休/护理依赖/心理困扰/疾病感知/应对方式Key words
elderly/multimorbidity/retired/care dependency/psychological distress/disease perception/cop-ing styles分类
医药卫生引用本文复制引用
鲁圆,马红梅,徐旭,付逗,柳晓谦,李薇薇..护理依赖程度、疾病感知与应对方式对离退休老年共病患者心理困扰水平的影响[J].广东医学,2025,46(4):622-627,6.基金项目
武汉大学临床护理专项科研培育基金(LCHL202317) （LCHL202317）
